Centro Universitário São Camilo, Curso de Medicina, São Paulo, Brazil.
Clin Anat. 2022 Jul;35(5):679-681. doi: 10.1002/ca.23891. Epub 2022 Apr 29.
Recently, there has been an increase in surgeries to treat silicones implant complications. These procedures are generally related to diseased fibrous capsules, with capsular contracture the most common clinical manifestation. However, patients often do not undergo a magnetic resonance imaging (MRI) scan for the explant surgical programming to access the fibrous capsule status and avoid residual diseased tissue. The accuracy of MRI to assess fibrous capsule breast neoplasm remnants depends on the surgical time. The ideal time for the evaluation is up to 72 h after the surgery when the repaired tissue starts to appear. Up to 2-3 weeks after surgery, MRI can provide information on the presence of a residual tumor. After this period, the presence of scar tissue and granuloma impairs the analysis. This communication discusses the role of MRI in evaluating residual fibrous capsules in the postoperative period.
最近，治疗硅胶植入物并发症的手术有所增加。这些手术通常与病变的纤维囊有关，其中包膜挛缩是最常见的临床表现。然而，患者在进行植入物取出手术规划时，通常不会进行磁共振成像（MRI）扫描来了解纤维囊的状态，以避免残留病变组织。MRI 评估纤维囊乳腺肿瘤残余物的准确性取决于手术时间。评估的理想时间是手术后 72 小时内，此时修复组织开始出现。手术后 2-3 周，MRI 可以提供关于是否存在残留肿瘤的信息。超过这个时间后，疤痕组织和肉芽肿的存在会影响分析。本通讯讨论了 MRI 在评估术后残留纤维囊中的作用。
